Individual
MRS. LISA JEFFUS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1761 PINEWOOD ROAD, AGAPE PHYSICIANS CARE, SUMTER, SC 29154
(803) 481-8591
(855) 886-9360
Mailing address
1624 MAIN STREET AGAPE SENIOR PRIMARY CARE, INC., DBA AGAPE PHYSICIANS CARE, COLUMBIA, SC 29201
(803) 454-0365
(803) 404-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1307
SC
363AM0700X
Medical Physician Assistant
001000182
NC
Other
Enumeration date
05/16/2007
Last updated
03/17/2015
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